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Whipple病2例报道并文献复习

Whipple's disease report of 2 cases and review of literature
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摘要 Whipple病是一种可累及多系统的慢性疾病,最常见的临床表现是腹痛、腹泻、发热、肌肉酸痛、关节疼痛、体质量减轻。Whipple病临床少见,病程反复发作,病情呈进行性加重,及时诊断和治疗可使症状缓解,预后良好。 Whipple' s disease is a chronic disease involving multiple system, the most common clinical manifestation were abdominal pain, diarrhea, fever, muscle pain, joint pain, weight loss. Whipple' s disease was rare clinically, recurrent course of illness was progres- sively increased, timely diagnosis and treatment could relieve symptoms, and received good prognosis.
出处 《胃肠病学和肝病学杂志》 CAS 2015年第6期763-764,共2页 Chinese Journal of Gastroenterology and Hepatology
关键词 WHIPPLE病 诊断 治疗 Whipple' s disease Diagnosis Treatment
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参考文献10

  • 1Whipper GH. A hitherto undescribed disease characterized anatomical- ly by deposits of fat and fatfy acids in the intestinal and megenteric lym- phatict issues [ J ]. John Hopkins Hosp Bull, 1907, 18 ( 5 ) : 382-391.
  • 2Fenollar F, Puechal X, Raoult D. Whippl e' s disease [J]. N Engl J Med, 2007, 356(1 ): 55-56.
  • 3Durand DV, Lecomte C, Cath6bras P, et al. Whipple disease. Clini- cal review of 52 cases. The SNFMI Research Group on Whipple Dis- ease. Soei6t6 Nationale Fran aise de M6decine Interne [J].Medicine (Baltimore) , 1997, 76(3) : 170-184.
  • 4Feurle GE, Volk B, Waldherr R. Cerebral Whipple' s disease with negative jejunal histology [ J ]. N Engl J Med, 1979, 300 (6) : 907-908.
  • 5Schneider T, Mnos V, Loddenkemper C, et al. Whipple' s disease: new aspects of pathogeuesis and treatment [ J ] . Lancet Infect Dis, 2008, 8(3): 179-190.
  • 6Fenollar F, Raoult D. Molecular techniques in Whipple' s disease [ J ]. Expert Rev Mol Diagn, 2001, 1 (3) : 299-309.
  • 7Wilsnn KH, Blitehington R, Frothingham R, et al. Phylogeny of the Whipple' s-disease-associated bacterium [ J]. Lancet, 1991, 338 (8765) : 474-475.
  • 8Martb T. New insights into Whipple' s Discase-a rare intestinal inflam- matory disorder [J]. Dig Dis, 2009, 27(4) : 494-501.
  • 9Mahnel R, Marth T. Progress, problems, and perspectives in diagno- sis and treatment nf Whipple's disease [J]. Clin Exp Med, 2004, 4 (1) : 39-43.
  • 10Marth T, Kleen N, Stallmach A, et al. Dysregulated peripheral and mucnsal Tbl/Th2 response in Whippleg disease [J].Gastroenterolo- gy, 2002, 123(5) : 1468-1477.

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